FQHCs & Community Health
Health centers and the community clinics around them — organizations working under their own reimbursement rules, grant funding where it applies, and a workforce competing for the same clinicians as the health system across town on a fraction of the budget.
- HRSA-funded health centers (FQHCs)
- FQHC look-alikes
- Community health centers outside the FQHC program
- Rural Health Clinics
- Tribal, IHS and urban Indian health organizations
Look-alikes share the FQHC reimbursement model without Health Center Program grant funding, and Rural Health Clinics are paid under rules of their own — so the diagnostic asks which designation applies before it asks anything else. A health center in an ACO stays on this route, with the arrangement noted.
A different economic engine, read through two lenses.
The workforce lens
The same questions as any provider — labor cost, benefits, retention, productivity — asked under a constrained operating budget, where every dollar of benefits spend competes with a clinic hour.
The revenue lens
- Patient Access & Coverage
- Encounter & Revenue Integrity
- Claims & Denial Performance
- FQHC Reimbursement Integrity — PPS/APM and wrap-around reconciliation
- A/R & Financial Recovery
- Data & Operational Readiness
Data. EHR, encounters, Medicaid, grant reporting, finance and HRIS.
Where it starts
- H.E.R.O. Snapshotno costOne for each driving force. Each shows where that force is most exposed — you answer about the system you actually run.
- BenDNA / RevDNApaidOur proprietary Diagnostic Needs Assessment. Surfaces the specific gaps in your operations and produces the Economic Case our ecosystems are built against.
- BenECO / RevECOpaidThe selected capabilities, delivered and measured as a scoped engagement — with terms set for each component.